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47 States. 25 Years. Unsurpassed Experience.




REDUCED FRAUD, WASTE, AND ABUSE.


                                      Medicaid Audit Management
                                      Comprehensive Audit Management and Audit Lifecycle Support

                                      • AutomateInvestigation Integrity Time And Costs
                                                  Investigations Saving
                                      • Improve Data Security
                                        Improve
                                      • Improve Reporting Compliance
                                      •
                                      Cognosante’s Audit Recovery Management System, or ARMS™ streamlines your
                                      audit management process helping you identify and manage claims for a full range
                                      of audit needs. It delivers automatic claim reviews for fraud and abuse; effective
                                      management of investigation case loads; full tracking of activities against audit
                                      cases and secure provider access for updates on the status of your cases.




ARMS™ automates your audit management process enabling rapid identification of improper payments.




                                      ARMS™
                                      Audit Recovery Management System
                                      PROVIDES A COMPLETE CLIENT AUDIT AND RECOVERY
                                      MANAGEMENT SYSTEM: It provides a comprehensive system to
                                      analyze multiple data sources; create a repeatable, auditable, and recoverable
                                      investigative process; control custody and access to sensitive information and
                                      customize dashboards for a variety of different stakeholder roles.

                                      STREAMLINES AUDIT MANAGEMENT: It automates your audit
                                      management process enabling rapid identification of improper payments.

                                      IMPROVES INVESTIGATION COMMAND AND CONTROL:
                                      It provides up-to-date, quality provider data; better understanding of the cause
                                      of improper payments; improved communications to providers and payer
                                      agencies; and better documentation of suspected fraud cases.

                                      IMPROVES COMPLIANCE: It publishes findings that comply with legal,
                                      regulatory, and industry reporting standards while reducing the time and cost
                                      of investigations.




                                                                        FIND OUT MORE:
                                                                        www.cognosante.com 855-CGNSNTE (855-246-7683)
47 States. 25 Years. Unsurpassed Experience.




THE BEST MINDS ON HEALTH
TO PREPARE YOU FOR THE FUTURE.


Cognosante fundamentally believes we can create a better healthcare environment
where everyone benefits. We are dedicated to applying our knowledge and innovation
to help produce a healthier population.


The Trusted Knowledge Leader
Cognosante is the industry’s health technology knowledge leader in helping states meet today’s complex
mandates. From ICD-10 to Health Insurance Exchange, we help you master the big picture. We make you
future-ready with industry-leading modular architecture and Seven Conditions and Standards compliance —
all while maximizing efficiency, quality and tight budgets.


THE COGNOSANTE ADVANTAGE                                  PROVEN SOLUTIONS FOR THE FUTURE
We focus on health IT only to deliver                     • Health Insurance Exchange
superior knowledge and experience to:
                                                          • Integrated Eligibility and Enrollment
• Link federal, state, and local government               • and Planning Self-Assessment
                                                             M
                                                              ITA 3.0 State
• See over the healthcare horizon
• Optimize business processes                             • Modular MMIS Procurement Support
• Comply with Federal government                         • IVV/QA Support
                                                             M
                                                              MIS Project Management and
   MITA and MMIS certification standards
                                                          • Contact Center Solutions
                                                          • Fraud, Waste, and Abuse Solutions
                                                          • ICD-10 Services
                                                          • Health Information Exchange


The Cognosante Promise
Customers who partner with Cognosante realize their goal of optimally sharing information and providing services with
peak performance and efficiency at a lower cost and in less time. Cognosante’s 100% quality pledge delivered by the most
advanced knowledge leaders and subject matter experts in the industry ensures our customers’ success — every time.




                                                                        FIND OUT MORE:
                                                                        www.cognosante.com 855-CGNSNTE (855-246-7683)

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Cognosante: How to Reduce Fraud, Waste, and Abuse

  • 1. 47 States. 25 Years. Unsurpassed Experience. REDUCED FRAUD, WASTE, AND ABUSE. Medicaid Audit Management Comprehensive Audit Management and Audit Lifecycle Support • AutomateInvestigation Integrity Time And Costs Investigations Saving • Improve Data Security Improve • Improve Reporting Compliance • Cognosante’s Audit Recovery Management System, or ARMS™ streamlines your audit management process helping you identify and manage claims for a full range of audit needs. It delivers automatic claim reviews for fraud and abuse; effective management of investigation case loads; full tracking of activities against audit cases and secure provider access for updates on the status of your cases. ARMS™ automates your audit management process enabling rapid identification of improper payments. ARMS™ Audit Recovery Management System PROVIDES A COMPLETE CLIENT AUDIT AND RECOVERY MANAGEMENT SYSTEM: It provides a comprehensive system to analyze multiple data sources; create a repeatable, auditable, and recoverable investigative process; control custody and access to sensitive information and customize dashboards for a variety of different stakeholder roles. STREAMLINES AUDIT MANAGEMENT: It automates your audit management process enabling rapid identification of improper payments. IMPROVES INVESTIGATION COMMAND AND CONTROL: It provides up-to-date, quality provider data; better understanding of the cause of improper payments; improved communications to providers and payer agencies; and better documentation of suspected fraud cases. IMPROVES COMPLIANCE: It publishes findings that comply with legal, regulatory, and industry reporting standards while reducing the time and cost of investigations. FIND OUT MORE: www.cognosante.com 855-CGNSNTE (855-246-7683)
  • 2. 47 States. 25 Years. Unsurpassed Experience. THE BEST MINDS ON HEALTH TO PREPARE YOU FOR THE FUTURE. Cognosante fundamentally believes we can create a better healthcare environment where everyone benefits. We are dedicated to applying our knowledge and innovation to help produce a healthier population. The Trusted Knowledge Leader Cognosante is the industry’s health technology knowledge leader in helping states meet today’s complex mandates. From ICD-10 to Health Insurance Exchange, we help you master the big picture. We make you future-ready with industry-leading modular architecture and Seven Conditions and Standards compliance — all while maximizing efficiency, quality and tight budgets. THE COGNOSANTE ADVANTAGE PROVEN SOLUTIONS FOR THE FUTURE We focus on health IT only to deliver • Health Insurance Exchange superior knowledge and experience to: • Integrated Eligibility and Enrollment • Link federal, state, and local government • and Planning Self-Assessment M ITA 3.0 State • See over the healthcare horizon • Optimize business processes • Modular MMIS Procurement Support • Comply with Federal government • IVV/QA Support M MIS Project Management and MITA and MMIS certification standards • Contact Center Solutions • Fraud, Waste, and Abuse Solutions • ICD-10 Services • Health Information Exchange The Cognosante Promise Customers who partner with Cognosante realize their goal of optimally sharing information and providing services with peak performance and efficiency at a lower cost and in less time. Cognosante’s 100% quality pledge delivered by the most advanced knowledge leaders and subject matter experts in the industry ensures our customers’ success — every time. FIND OUT MORE: www.cognosante.com 855-CGNSNTE (855-246-7683)